The physician may also use a tool such as the SIGECAPS. This tool may assist the physician in determining if an individual is experiencing MDD or dysthymia.25 Complaints of disturbances in four or more of these categories could indicate MDD and would require further evaluation.
Sleep Interest deficit Guilt Energy deficit Concentration deficit Appetite disorder (either decreased or increased) Psychomotor retardation or agitation Suicidality
For evaluation of more severe forms of depression such as Bipolar Disorder, an evaluation tool is available that can be utilized by the physician. This tool can aid with the sometimes difficult issue of determining Bipolar versus Unipolar Depression.25 The Bipolar Spectrum Diagnostic Scale as well as the Mood Disorder Questionnaire may offer screening if Bipolar Disorder is considered.40
Furthermore, there are several depression screening tools available. These may be used in practice but are often utilized for research.
Beck Depression Inventory (BDI) and Beck Depression Inventory-II41
Center for Epidemiological Studies Depression (CES-D)41
Edinburgh Postnatal Depression Scale42
Hamilton Depression Rating Scale (HAM-D)43
Quick Inventory of Depressive Symptomatology-Self Report (QIDS-SR16)44
The above mentioned tools take 5-10 minutes to administer. The screening tools included in this chapter may be repeated once depression is diagnosed